The URL can be used to link to this page

35-082 `= L_ J NOI1V0Nf10J 'ISIX3 1108J ' \ \ 9XZ ONI 4V L „0-,Z l �-'� x ' \ to \ •--04 — _ O Z n „817X.09 0 O O - III L. '' (I) II III `" Z °-o 3 �Z III Z -I o- x o° w CO ° w�W X I x N v)m v) - Ix c�z U a o o z -\<' w CD 1 x CC ■ Q a I, Z W x O® s o Ir + �,9 , w x +• o ay a0\ °cr N� 1 I ° W 0 4) �-�--I U M= III O < I <10._ In L.3 °U III CD IX S) �� I • MOONIM .lCX„Sty Z H = 0 ►� _ 0 __ 's cn 0 - 3NI1 J008 z LL1 < D c 'n U p w J CC CC fir. - O (n w aW Z z Q 0 W U (4 Q i1) OP- L d e 0 O oz z. e t_ O Q 0z J• w z oo Z 0 0 L. . :3, Z L A L v) X W SEE BUILDING FOR FRAMING SECTION 15'-2" 16'-0" ALUMINUM GUTTER y J EXIST. FOUNDATION TO NEW FRAMING f -i- \ 0 1 o II II °c2 iI NEW PORCH II o EXIST. CHIMNEY I0 H t I, II - - -R Q- - - it ROOF LINE -- ----L r---------- - I I NEW KNEE-WALL TO KITCHEN 10 l l ROOF REQUIRED II ATH II DINING ROOM n r _I- DINING 13 /1I I BEDROOM LL -= AIL_ Li r �'Y` _ J r - �r == —-II Ir HEATING -IT L- L� c I LIVING ROOM L _ _ _ JJ \JI 1 ,.1 I r_ - - - Lr � BEDROOM Ii BEDROOM I , I I- B'DROOM I / 1 I I I L_ _ _ ]L_ _IL_ _r JJ I II I ENTR II I r I I \ LL J L - - - J SCALE: 1/8" = 1'-0" ROOF PLAN FOR NEW ENCLOSED PORCH AT 1255 BURTS FIT ROAD FLORENCE, MASSACHUSETTS Proposal for 12'-0" x 16'-0" Addition by Daniel and Laurie McGrath 95.05 w w z z J o csi W ( pp pp W a a o o CL PROPOSED ADDITION a EW ENCLOSED PORCH 25'-2" 144 53'-10" rc-- 12' 1255 I EXISTING STRUCTURE ONE FLOOR NO BASEMENT — N 95.00 PROPERTY LINE BURTS PIT ROAD PROPOSAL Scale: 1 " = 40'-0" SITE PLAN FOR NEW ENCLOSED PORCH AT 1255 BURTS PIT ROAD FLORENCE, MASSACHUSETTS Proposal for 12'-0" x 16'-0" Addition by Daniel and Laurie McGrath �' il �!,*4izs b A C A 4t O 1p ..� q s s a S .2 y ro ow a ? 'tejs g s: 3 i e C F 1'1111111111T L 0 0) to ,-a' c) 8 g74 ', `�' �p1t i g /� A� d Fr t� + d LS �+<,� ! I1tl1��ltl• E �e A t" z a 3' 'YC Q V a p ,-,C " a oo 0 " a 4• S S 4.•, ar 0 3 s. g 0. 3 F N 8 0 gRoM ft, }hA d 3 0 a d $ ;. �2 ( .b ft N — S S Z .� a `a ,`R A $ • (ry p A 7 �! m yj to la �. "i Ps A m n .� C I E. a s t� Li �, ... � G. t 1"--1-. " . CS, RA O �q •• 1 0 w.7 ` - p' r: � O O IQ $ Np fS' A ab. ty a R, "` Z PI n ! ILh . q A y O • -.ce E' ^ N 2' 2 '12 r� E1 g• $' s $ � 4 ca XL di pp C., A L` 1i d A R $a _ a) fry ".. ' . ,!4 00 -) Q O �•- Q N W j .-• Q a ce 0 ei ro 05' 3 * I ,� : a O � 'UtII W c? za ..fin -0 0 V g -., g, s. a-, 3.. i * a 0, 3. C A A a a 13 4 0 oho y $ a to 2. d Li w tA � • o a a. K. 5. 5. E g' E. XI ° � C € » ti !4 °, 3 t... 5 0 • 0 Ls ". O i ' T "..ei 00 w Q. - A 45.7 :01 i */44eoveJ( (i'fr›)* efr"-e-j Z 12" SINGLE PITCH ROOF ASPHALT SHINGLES ON 15# ROOFING FELT 17/ 5/8" PLYWOOD ROOF SHEATHING 2x8 WOOD . KNEE-WALL is REQ IRED 2x4 CONT. NAILER & 2x4'S AT 24" 0. ALUM. DRIP EDGE AND GUTTER 2x8 JOISTS FRAMING 12" O.C. `\ �� Y'^42 �..t.(.L `_ }`(C, Q): Q. ' 1x8 FASCIA AND 1/2" GYPSUM WALLBOARD N 1/2" EXT. PLYWOOD SOFFIT CONTINUOUS SOFFIT VENT Z o 1x8 FRIEZE BOARD 3--W (R ) BATT INSULATION w I 101' Lto 0 v 0 fZ�-a tt gO w 3 5/8" (P#3) BATT INSULATI Li ce WITH VAPOR BARRIER 2x6 STUD FRAMING 16" O.C. S v ►�I 1- Sot DOUBLE STUD AT WINDOWS AND DOOR 4 mr 1/2" PLYWOOD SHEATHING o »' SIDING TO MATCH EXIST. HODS 1/2" GYPSUM WALLBOARD d, BASEBOARD MOLDING le N 04 3/4" FINISH FLOORING Mb IPA le 3/4" PLYWOOD SUB-FLOORING � 2x6 PLATE GLUED AND NAILED \ Owl' GRADE TO MATCH EXISTING IllrlkAnrallra1!.,-A21, 1 / V Z 1/2" PRESSURE TREATED PLYWOOD ° ' — 2" MIN. ABOVE FINISH GRADE 5 AND RIGID FOAM °I t//► 3" FROM END OF FRAMING Z 2x8 JOISTS FRAMING 12" O.C. ° -' WITH DOUBLE JOISTS ALL SIDES c_. C•F COLUMN o E- v I N 10" 0 CONCRETE PIER WITH FOOTING d' P ANCHOR FLOOR JOISTS TO CONCRETE v 3 O la. , m d 4: d CO a _ — — —�- BUILDING SECTION v..11LA.kr,u7. °6M5.5 ii74. • r (tat? ni XarliTanr.pan • 111;,11b"St$ Alassarkinsrtis • DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street e Municipal Building INS PECTOR • Northampton,MA 01060 me • • • — ----• LOCATION Li • • SQUARE FOOTAGE AMOUNT • BASEMENT® .20 Ai / • 'MA rifi - 1sTFLOOR @.50 AwAir i • • • 2NDFLR:@ - Y2 FLOORS, FINISH ATTIC,GARAGE @20 • Vjg- 59i DECK/PORCHES @ :20 TOTAL • • 7 ' 'i3 ovfe • • • • • • . • • • . 1 5'•-/:f 24..0" EXIST. FOUNDATION TO NEW ± ir AUGN W/ EXIST. KITCHEN WALL ( [ I I i " — f 4' ll DRIER 1 0 .0 0 I I 0 6- 1 v) I I I I o I -I ADDMO I 0 I i I I i KITCHEN ■IIIIIIIII 0 NEW I BATHROOM 10 IN I 1 0 0 DO SHOWER 0 I 0 fl BATHTUB 31 N50- ) H EXISTING 31D0EEsT---"' KITCHEN BATH DINING ROOM -- i ■ [ r lo i __pi BEDROOM 1 1 1 HEATINP\ .,.....____ - LIVING ROOM 11 BEDROOM r: BEDROOM BEDROOM b, ,! i ENTRY 11 1: ---1-1 SCALE: 1/8" = 1'-o" FLOOR PLAN FOR ADDITION TO KITCHEN AND NEW BATHROOM AT 1255 BURTS FIT ROAD FLORENCE, MASSACHUSETTS Proposal for 12'-0" x 24:-0" Addition by Daniel and Laurie McGrath ,.. 95.05 —1 LLI LLI z z m tn N 1 cc a; IS ! Lc5 Lai co a. — ,-- • a. 0 0 ce w a.. a. PROPOSED ADDITION TO KITCHEN AND NEW BATHROOM 25' 24' 46' - ...i , ! , . 12' 1255 _____ EXISTING STRUCTURE ONE FLOOR NO BASEMENT A --1--- -c, c., V 95.00 PROPERTY LINE BURTS PIT ROAD PROFOSAL Scale: 1 " = 40'-0" 3 Se-Tsay SITE PLAN FOR ADDITION T ;- 05-P .....- AT 1255 BURTS PIT ROAD FLORENCE, MASSACHUSETTS Proposal for 12'--0" x 24'—O" Addition by Dcn;ei and Laurie McGrath City of Northampton AS HAAp �. -.w.At s 4 Massachusetts 114_44L.,441i .wP, ,A.AtTils,40! 41i IL tq DEPARTMENT OF BUILDING INSPECTIONS r =n 212 Main Street • Municipal Building v • Northampton, MA 01060 44 INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, "Person(s) who owns a parcel on which -he/she resides or intends to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two- year period shall not be considered a home owner." The building department for the City of Northampton wants any person(s)who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work(electrical, plumbing & gas)the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are {made I Gn e ( tt c ctrl-, y 2171e-ste understand the above. (Home owner/resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date �///4 Address of work location /�.5^s �"�‘4f () P-. • The Commonwealth of Massachusetts ----W Department of Industrial Accidents Office of Investigations ImMON•10° .111011M 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):_\-\ �, ( �(1.41 . ,jL( Address: 6, City/State/Zip: Phone #: �/I I ( 1 l Are you an employer?Chec the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.%1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp. insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 1011 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insur. e coverage verification. I do her y c:rtify u der t epain %nd 'realties of perjury that the information provided above is true and correct. t Si ature: A , A .�� Date: i Phone#: I Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: City of Northampton fi, aM dry ,F�15> s! 4 Massachusetts =, 'c _ DEPARTMENT OF BUILDING INSPECTIONS w 4$-1, 212 Main Street • Municipal Building ^ ✓ Northampton, MA 01060 s . t,s-ti INSPECT VLF Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two- year period shall not be considered a home owner." The building department for the City of Northampton wants any person(s)who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed], insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these IL failure t obtain certificate ..f�rn..p�r�i. 4:1 the V L. LIIeJe 111.7 c�.11olls L1II I=z4.i1L III Iai urG o obLain1 a of occupancy 'anti! Ile work call be inspected. If the homeowner hires other trades to perform work(electrical, plumbing & gas)the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made y�,, / I, cG . � J understand the above. (Home owner/resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date id /9 fig' Address of work location l A Cr e - 12c9 r + J 4 ff I 06a • i The Commonwealth of Massachusetts Department of Industrial Accidents .-a = Office of Investigations ftegyllae` � 600 Washington Street . w v :.� Boston,MA 02111 www.mass.gov/dia ,,,,..lro..o, ! 14 r A 441,1,,,.,Z4-•I %4 L •1a it + + W1 + /I I_._.._>_..,.. VY■11.10, l_.VIE1P11,210RL1V11 111.7111 Kll\.V Alllll{L♦Al. Lulil{\.l al V VILLA 4d LUX a/1%1GL.Ill 1.1.440.113/I AU11111G1, Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: City/State/Zip: Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 4. n I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 New construction listed on the attached sheet. 7. 0 Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. $ 9. n Building addition required.] 5. n We are a corporation and its 10.0 Electrical repairs or additions 1 3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si•lature: iblicwYl .Jr v��'�l IIkgLI Date: Phone#: C//./?, 0 g ?' g 6 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: License Number Address Expiration Date Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes ❑ No ❑ 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Loe 1 Zoning Laws and Stat- ofMassa a husetts General Laws Annotated. jHomeowner Signature CU'r ? %"`z a: 4 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable), _ _ ,..,: ,, New House ❑ Addition VI., Replacement Windows Alteration(s) El Roofing n Or Doors El Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [I=] Siding[O] Other[0] ^4/i/tept4/0:a Brief Description of Proposed i ' Work: 0....a Q SL v. L 4.l%; 4..11(n ,-` p A. r--.Pp r A Se Alteration of existing bedroom Yes LV No Adding new bedroom Yes V No Attached Narrative Renovating unfinished basement Yes (�No Plans Attached Roll -Sheet e ro s`=.• g d riadd tion to.exis In'.lid siiii•4s' om:lee:lie.o owin : a. Use of building:One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? �.�[1 d. Proposed Square footage of new construction. t9 Dimensions /V •.e( 4, e. Number of stories? / f. Method of heating? / 'g -Se Fireplaces o odstove 1 Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? 7._ h. Type of construction t- i. Is construction within 100 ft. of wetlands? Yes cll._ No. Is construction within 100 yr. floodplain Ye? No j. Depth of basement or cellar floor below finished grade '`7 r 1 ,14,srAi S k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer �-- Private well City water Supply SECTION 7a. OWNER AUTHORIZATIONw.,TO BE COMPLETED WHEN x r OWNERS AGENT OR CONTRACTORAPPLIESFOR BUILDING PERMIT k N I, ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, ,as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name Signature of Owner/Agent Date .I 4=` SECTION 8 CONSTRUCTION SERVICES e 8.1 Licensed Construction Supervisor: ( /► Not Applicable ❑ Name of License Holder P l?JCt C `�01A(LL,u l _-(l b 4) 1- LA ( tih �f License Numb r j Expiration Date —L 17/7( s31 III S' nature -? �\ Telephone '"> a rc® oriiem M o en ,Contra o .f tt ` „ Not Applicable ❑ Compan ,Name Registration Number _Address / Expiration Date 67 Tele hon / 53i /..0, rSECTtON 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M G L x.152,.,§25C(6)) ,, Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes i4 ......._ No ❑ . :iin4 '.lien`{ ;IA F - .1n The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature ,, .._. ......_.. ...... ..... /Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information v/ Existing Proposed Required by Zoning This column to be filled in by �L 1��/ Building Department Lot Size / T I 4-T Frontage Setbacks Front ep a Side L: R: L: R:. Rear Building Height Bldg. Square Footage Open Space Footage % (/ (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW @ YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW 0 YES Q IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW 0 YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO • IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO rb IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition N., Replacement Windows Alteration(s) n Roofing igi Or Doors CI Accessory Bldg. ❑ Demolition ❑ New Signs [0 Decks [0 Siding [0] Other[p] /�rief Description of Proposed /te. ✓t• I' Om _oR( . , - \ • Work: --- ±. — _ ,c. Alteration of existing bedroom Yes No Adding new bedroom Yes (,,.--' No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet a. � If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Q j0 k-t- Number of Bathrooms 0 c. Is there a garage attached? Ns 0 ," l, d. Proposed Square footage of new construction. ° u Dimensions / r)(I e. Number of stories? f. Method of heating? S AS' 1,,04-‘..„i (j i,.,t9 Fireplaces or Woodstoves ` j- Number of each 0 r1Q g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? Yes V,Z No. Is construction within 100 yr. floodplain Yes (/ No j. Depth of basement or cellar floor below finished grade 10- k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer V Private well City water Supply 1../7 SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name _,,VA (..j?.(1-/)...74A-71- Signature of Owner/Agent Date J 5 i / Department use only RECEIVED City of Northampton Status of Permit: i Building Department Curb Cut/Driveway Permit OCT - g 212 Main Street Sewer/Septic Availability i Room 100 Water/Well Availability jNorthampton, MA 01060 Two Sets of Structural Plans DEPT.OF BUILD NG wSP&e 4'3-587-1240 Fax 413-587-1272 Plot/Site Plans NORTHAMPTON,MA 0 Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION Property Address: ( • This section to be completed by office v `d s,s `€( -) (1`i-. ,Oc, Map Lot Unit F/00 2/1 e` ; /71/}- Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: (/ q / r D M n 15 Ar.N Las..r. IP c \,r..G_ I-, id`� i�of Tl� �:T R: _.c r1 o,',1 Gc 016 J Name(Print) Current fling Address: c a (7'/ 7..oe V S 7- y�GS Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS /Item Estimated Cost(Dollars)to be Official Use Only / completed by permit applicant 1. Building cx J c U U (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of S/ 0 0 C' Construction from(6) if 3. Plumbing / O J :.) c L Building Permit Fee 4. Mechanical(HVAC) "T' '7? 5.Fire Protection �..6. Total=(1 +2+3+4+5) f 3 S, e� Check Number ()Op/ g 1r/Vii-- -- This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date K - File#BP-2013-0399 ''i0A- APPLICANT/CONTACT PERSON MCGRATH DANIEL&LAURIE ANN SARAFIN MCGRATH ADDRESS/PHONE 1255 BURTS PIT RD FLORENCE (413)587-9865 0 PROPERTY LOCATION 1255 BURTS PIT RD MAP 35 PARCEL 082 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out r�8 � q Fee Paid / �l/ T j.eof Construction: CONSTRUCT 24 X 12 -= ` --___' " -- - 011� c"eck New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay cc— S • ature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. 1255 BURTS PIT RD BP-2013-0399 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 35 -082 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit# BP-2013-0399 Project# JS-2013-000643 Est.Cost: $35000.00 Fee: $144.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ROBERT GOULD 90940 Lot Size(sq. ft.): 17859.60 Owner: MCGRATH DANIEL&LAURIE ANN SARAFIN MCGRATH Zoning: Applicant: MCGRATH DANIEL & LAURIE ANN SARAFIN MCGRATH AT: 1255 BURTS PIT RD Applicant Address: Phone: Insurance: 1255 BURTS PIT RD (413) 587-9865 0 FLORENCEMA01062 ISSUED ON:5/24/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 24 X 12 THREE SEASON PORCH POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 5/24/2013 0:00:00 $144.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner